Geropsychology Commons^™

Sociodemographic And Injury Severity Characteristics As Predictors Of Functional Independence In Older Adults With Tbi Up To 10 Years Post Injury, Carmen M. Tyler

Theses and Dissertations

Traumatic brain injury (TBI) incidence rates have been increasing in recent years, with the greatest number of TBIs and the highest morbidity and mortality rates in individuals aged 80 and over. As average life expectancy continues to increase, the older adult population is expected to comprise nearly one-quarter of the U.S. populace by 2060. With the increased risk to a larger proportion of the U.S. population posed by TBI, the aim of the current study was to examine the roles of sociodemographic and injury severity characteristics as predictors of functional independence trajectories across 1, 2, 5, and 10 years after …

Age-Related Microaggressions: A Descriptive Study, Luke J. Gietzen

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this study was to expand the literature on ageism and microaggressions by defining a novel concept called an age-related microaggression. Participants (n = 51) were presented with explanations of gender and racially charged microaggressions and then were asked whether they had ever had an experience like that but related to their age. Participants described experiences of age-related microaggressions and were further guided through a series of questions via an online survey to determine the topography of the age-related microaggressions, emotional and behavioral reactions to being victimized, perpetrators and settings of the attacks, and perceived intent. A thematic …

Older Adults And Suicide As Examined Through The Lens Of Joiner's Interpersonal Theory Of Suicide, Pamela Holmes

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Older adults face the highest rates of suicide of all age groups. The older adult population is not a homogenous group, and each age range—young old, middle old, and oldest old—has specific risk factors. Although Joiner’s interpersonal theory of suicide (IPTS) has been deemed valid among these age groups, it has not been specifically researched in older adults in each older age range. Due to lack of research and low reporting rates, not enough is known to develop specific detection and prevention measures targeting this population. This paper addresses the application of Joiner’s IPTS to both genders in each of …

Validity Evidence For The Male Depression Risk Scale-22 (Mdrs-22) In Younger And Older Adult Males, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports

Men are two times less likely to be diagnosed with major depressive disorder than women. However, suicide rates are nearly four times higher in men than women, increasing to six times when comparing older men to older women. Given that affective disorders are present in most individuals who die by suicide, investigators have begun researching the possibility that depression presents differently in individuals who adhere to traditional masculine norms, leading to the conceptualization of masculine depression. Presently, one assessment for masculine depression shows strong reliability and validity evidence: the Male Depression Risk Scale-22 (MDRS-22). Despite burgeoning validity evidence for the …

Error Commission And Aging: Using Single-Trial Movement Kinematics To Decode The Time-Course Of Response Monitoring Processes During Complex Decisions In Older And Younger Adults, Emily Norton

Dissertations, Theses, and Masters Projects

We are constantly making decisions in everyday life that involve interactions with our environment: from simple behaviors like deciding to reach for your cup of coffee to complex behaviors like deciding which route to take to work. It is well known that these decisions require constant monitoring, such that decision-making is not a discrete event and requires initiation, monitoring, and evaluation for success. This process can be seen during error-corrections, in which an initial plan was implemented, an error was recognized, and a new plan was implemented to correct the initial response. While we have learned a great deal about …

A Secondary Data Analysis Of The Prevalence Of Reported Dementia And Subjective Cognitive Decline Across U.S. National Surveys, Matthew C. Picchiello

Arts & Sciences Electronic Theses and Dissertations

Within the United States, many large-scale, nationally representative studies exist with the goal of tracking and monitoring aspects of health. These studies are often used to establish the prevalence of dementia and subjective cognitive decline (SCD) in the population. The goal of the current study is to examine how different population-based studies probe respondents about conditions related to cognitive impairment, and to assess similarities and differences in point estimates. We reviewed eight studies and identified comparable items related to dementia and SCD. We calculated design-appropriate point prevalence estimates and compared weighted estimates across studies, finding a wide range and statistically …

Impact Of Aging Information On The Continuing Education Preferences Of Behavioral Health Clinicians, Nicholas Schmidt

Dissertations

The United States population is aging rapidly and the behavioral health workforce is ill-prepared to meet the concurrent rise in demand for services for older adults. Clinicians specializing in working with older adults make up a very small portion of providers and the majority of service provision falls on general practitioners. The discipline of counseling has emphasized multicultural competencies in training and practice but has not specified standards of competence for work with older adults; little is known about the interests and training preferences of Licensed Professional Counselors (LPCs). This study examined the impact of receiving foundational information about aging …

Challenges Associated With Treatment Of Borderline Personality Disorder In Older Adults And The Impact On Psychosocial Development, Marisa Victory

Dissertations

The continued growth of the global aging population calls for further expansion and development of the appropriate diagnosis and treatment of older individuals living with borderline personality disorder (BDP), yet there is limited information regarding the impact of the disorder in later adulthood. The pivotal work of Erik Erikson, specifically his psychosocial stages of development, is a widely accepted conceptual framework for understanding human development including into older adulthood. During the late adulthood psychosocial stage of development, people experience a multitude of changes in relationships, work status, family, and what they define as meaningful. These changes can have a negative …

"It's The Way You Sing It": Translating Music Therapy For Isolated Older Adults Affected By Covid-19 To The Television Screen, Eunice Wong

Expressive Therapies Capstone Theses

The current Covid-19 pandemic has increased the likelihood of loneliness and social isolation among older adults due to the restrictions on movement and visitations in care facilities. Loneliness and social isolation have consistently been identified as risk factors for poor mental and physical health in older people. Meanwhile, a growing number of older adults are utilizing technological resources to enhance their interpersonal relationships and overall quality of life. In the winter of 2020/2021, an innovative music therapy-informed television program was designed and produced for isolated older adults in need of mental and emotional support. This project, produced jointly by a …

Remote Neuropsychological Assessment: Does Mode Of Administration Matter?, Renee Dematteis

Dissertations

Neuropsychology relies heavily on standardization of administration to increase the validity, reliability, sensitivity, and specificity of an assessment instrument. The COVID-19 pandemic has rapidly increased the need to be able to provide neuropsychological assessments remotely. Teleneuropsychology can be conducted through various avenues, including telephone, computerized, and televideo modalities. Given neuropsychology's reliance on standardization for proper use of normative data that accompanies individual assessments, the question arises how mode of administration impacts the validity, reliability, sensitivity, and specificity of an assessment instrument. The literature review summarizes the research conducted regarding the validity, reliability, sensitivity, and specificity of telephone neuropsychological assessments, computerized …

Activities In A Long-Term Care Facility Amidst A Global Pandemic, Kayla Valente

Honors Projects

This paper focuses on the lives of individuals in Wood Haven Health Care in Bowling Green, Ohio during the COVID-19 global pandemic. Living in a long-term care facility can be difficult any time, but since the lockdown began life has been especially challenging for the individuals in nursing facilities. I worked directly with the residents at Wood Haven during my internship with the activities department. With this position, I was tasked with creating fun and engaging activities that also kept residents safe. I will be discussing different research about activities in long-term care facilities, specifics about activities during the COVID-19 …

Wisdom Program As A Treatment For Geriatric Psychopathology, Darrell Gene Rice

Loma Linda University Electronic Theses, Dissertations & Projects

As the population of older adults continues to rise, the prevalence and incidence of psychopathology in this group will increase as well. The most common psychopathologies observed in older adults include depression, anxiety, and mild cognitive impairment. These conditions are often co-occurring; however, few interventions are designed to simultaneously address all three. We examined whether the LLU WISDOM adult partial outpatient program was effective in reducing depression and anxiety, as well as improving cognitive function in a sample of older adults. We hypothesized that compared to a control group receiving usual clinical care, participants in the WISDOM program will demonstrate …

Analyzing The Use Of A Montessori-Based Activity & Its Effect On Engagement & Affect In Persons With Dementia: A Replication Study, Emilee J. Andersen

All Graduate Theses, Dissertations, and Other Capstone Projects

Activities are an essential element in institutionalized settings for persons with dementia. Challenges are faced, however, when developing and implementing stimulating and meaningful activities for this population. Over the past two decades, Montessori-based activities (MBAs) have been investigated as a means for meeting the needs of persons with dementia residing in long-term care facilities. MBAs were developed to enhance the quality of life for individuals experiencing dementia through maximization of engaging and meaningful activities. The purpose of the current study was to expand on the empirical literature related to the use of MBAs for persons with dementia by replication of …

Understanding Resident-To-Resident Conflicts In Long Term Care Settings From The Perspective Of Administrative Staff, John F. Walker

All Graduate Theses, Dissertations, and Other Capstone Projects

Assisted living facilities are expanding in response to the growing population of older adults in the United States. Assisted living facilities offer a wide array of services including memory care. Research has shown that a majority of assisted living facilities have residents with cognitive impairments living along with non-cognitively impaired individuals (i.e., mixed populations). Little is known about the conflicts that may arise between cognitively and non-cognitively impaired residents in a mixed population. The present study hoped to better understand what conflicts occur, how direct care staff are trained to handle these conflicts, from the perspective of assisted living facility …

Resident Centered Behavioral Health: A Program Evaluation, Anna Olinger

All Graduate Theses, Dissertations, and Other Capstone Projects

Behavioral health concerns, such as depression and behavioral symptoms, impact older adults at significant rates. These concerns impact an individual’s quality of life, health status, and mortality. When behavioral health concerns cannot be effectively managed in the community by the individual or their caregivers, a skilled-nursing facility is often the next step. Unfortunately, those caring for older adults in these settings have not always had access to the training they need to care for individuals with depression or behavioral symptoms. The Resident Centered Behavioral Health program set out to change this. The program implemented an interactive, behavioral health training program …

Effects Of An Educational Intervention On Students’ Knowledge And Attitude Towards Working With Older Adults, Johnna L. Kelley

Electronic Theses and Dissertations

Many individuals report reservations about working with an older adult population. A potential factor that may influence this is openness to experience. Additionally, research shows that educational interventions are effective in increasing individuals’ level of knowledge on various topics including older adults and aging. This increased level of knowledge contributes to a higher level of willingness to work with an older adult population. In order to support and extend the existing literature on this topic, we examined the effect of a short-term education session on undergraduate students’ willingness to work with older adults in a variety of positions and settings. …

The Effects Of Dementia Knowledge On Dementia Worry, Attitudes, Social Comfort, Empathic Concern, And Personal Distress, Alexandria Rose Ebert

Graduate Theses, Dissertations, and Problem Reports

The present study examined the effects of different types of dementia knowledge on attitudes and affective reactions towards persons with dementia. Work has demonstrated that individuals with higher levels of personhood-based knowledge have lower levels of personal dementia fear and higher levels of social comfort. However, to our knowledge, work has not examined dementia attitudes more broadly or differentiated causal relations among different forms of dementia knowledge and attitude outcomes. Participants (N = 334) aged 19-78 (M = 44.53, SD = 16.57) were randomized into one of five experimental conditions: (1) biomedical-knowledge (BK; read biological and medical facts about …

Handicraft Art Leisure Activities And Cognitive Reserve, Genna Mashinchi

Graduate Student Theses, Dissertations, & Professional Papers

With increasing age, older individuals face a higher likelihood of developing dementia. The rate of cognitive decline resulting from dementia is not equivalent for all, as some patients with dementia are able to function independently longer than others, despite having similar disease burden. The cognitive reserve (CR) theory provides one explanation for the differing rate of decline. CR suggests that there are factors — most notably, educational and occupational attainment — that can protect against the cognitive decline that is a hallmark of dementia. Although the beneficial effects of these notable CR factors are clear, they may not be modifiable. …

The Relationship Between Subsyndromal Symptomatic Depression And Cognitive Dysfunction, Bryce Jacobson

Loma Linda University Electronic Theses, Dissertations & Projects

Subsyndromal Symptomatic Depression (SSD), or subthreshold depression, affects roughly 15% of community-dwelling older adults and puts them at increased risk for developing Major Depressive Disorder (MDD), which represents a risk factor for Alzheimer’s Disease (AD) and may expedite disease progression. While the relationship between MDD and AD has been well established, the interaction between SSD and cognitive functioning has not been explored in depth. Further, clinicians have long postulated that depression is not a monolithic disorder but rather a group of disorders which are heterogeneous in onset, symptoms, course, and treatment. One hundred and six participants, 65 and older were …

Sex/Gender Differences In Serial Position Profiles In Patients With Mild Cognitive Impairment And Healthy Controls, Emnet Z. Gammada

Dissertations, Theses, and Capstone Projects

Introduction: Alzheimer’s disease disproportionately affects more women, but paradoxically, men have a higher incidence of Mild Cognitive Impairment (MCI). Researchers have suggested that women’s verbal memory advantage across the lifespan reflects better premorbid skills, which then require more neurodegeneration to manifest early clinical impairment. To date, measurement of sex differences in verbal memory have used total list scores. We proposed that a granular examination of serial position effects (SPE) in list-learning can refine the source of sex/gender differences.

Methods: A cross-sectional analysis of participants with Mild Cognitive Impairment (MCI) and Healthy Controls (HC) was examined from the Alzheimer’s Disease Neuroimaging …

Dementia And Competency In United States Courtrooms: A Case Law Review, Dana Miller

Student Theses

The number of older adults in the United States is rising, as is the incidence of dementia. Older adults are coming into contact with the criminal justice system at greater rates than previously encountered. As such, individuals with dementia are likely appearing in courts at an unprecedented rate. While many civil competencies commonly related to older adults are well researched, competency in the criminal legal system has not received the same level of recognition in this population. This is particularly concerning given the growing awareness of the relevance of dementia in some criminal competencies (e.g., Madison v. Alabama, 2019). Of …

The Biological, Psychological, Cognitive, And Social Perspectives On Aging: The Design Of A Healthy Aging Program For Older Adults, Melissa Santiago

Dissertations

Aging is an inevitable process, accompanied by changes in physiological, cognitive, psychological, and social facets. Researchers have investigated the physiological, cognitive, psychological, and social risk factors associated with aging and have encouraged the use of physical activity, cognitive training, and dietary interventions to alleviate risk factors. However, holistic programs dedicated to promoting successful aging among older adults are uncommon. This review sought to promote successful aging by identifying physiological, cognitive, psychological, and social risk factors that affect older adults and develop a comprehensive program to holistically mitigate these risk factors. Risk factors associated with unsuccessful aging include the development of …

Applying A Metacognitive Framework In The Neuropsychological Assessment Of Subjective Cognitive Decline And Mild Cognitive Impairment, Susan Y. Chi

Dissertations, Theses, and Capstone Projects

The characterization of the earliest stages of Alzheimer's disease (AD) is a topic of major research interest because it is critical for early diagnosis and emerging interventions. Metamemory, or knowledge about memory, including awareness of one’s own memory functions, has been investigated in AD especially in relation to how impairment in memory and executive functions contribute to unawareness of cognitive deficits, termed anosognosia. Previous research, however, has not systematically investigated metamemory functioning in older adults with prodromal dementia conditions. Therefore, we investigated metamemory accuracy in cognitively healthy older adults (HC) and those with subjective cognitive decline but intact neuropsychological test …

Remember To Color: How Coloring Impacts Elderly Mental Health And Working Memory, Griselda Alaves

UNF Graduate Theses and Dissertations

In the study of gerontology, mild cognitive impairment (MCI) has received much attention as it is the progressive stage before Alzheimer’s disease (AD). According to lifespan studies, people with MCI advance to AD at a much-accelerated pace than people without MCI. In this study, I am investigating whether art activities (coloring versus drawing) has any influence on the elderly’s levels of stress and anxiety. More specifically, current research in art therapy points to a significant reduction in participant’s stress and anxiety levels after being involved in coloring and drawing activities. In addition to mental health, I am also investigating how …

A Framework For Building Assessment And Learning Tools For Digital Skills, Ann Ciesla

Dissertations, Master's Theses and Master's Reports

Technology continues to intertwine with aspects of our everyday lives, requiring a new set of skills in exploring and experimenting with user interfaces. For those who grow up and keep up with technology, these skills are second nature. But for those who do not, such as older adults, these skills can be hard to master. User interfaces are changing regularly, and it is no longer suffices to teach older adults how to solve a specific problem on a specific interface. The knowledge they gain is insubstantial because it does not help when the technology changes. They no longer understand how …

Physical Activity Moderates The Relationship Between Apoe4 Status And Working Memory: The Health And Retirement Study, Dalia T. El-Shafie

Honors Undergraduate Theses

The purpose of this study is to explore the relationship between physical activity and working memory decline among older adults with APOE4 status. The APOE4 allele is currently the strongest predictor of risk for Alzheimer's disease and other related dementias. The publicly available data from the Health and Retirement Study was used to complete this Retrospective Longitudinal study. Three hypotheses were explored. H₁: It is expected that the presence of the APOE4 allele will be associated with worse overall working memory performance and a steeper rate of decline in working memory over time. H₂: Meanwhile, it is expected that participants …

Role Centrality And Shared Activities With Grandchildren: Effects On Grandparent Wellbeing, Madeline Marie Marello

Graduate Theses, Dissertations, and Problem Reports

Research shows that physical and mental health are closely linked (Ohrnberger, Fichera, & Sutton, 2017). Further, social role theory states that holding and enacting valued roles, such as grandparenting, can buffer the negative effects of health on depression (Reitzes & Mutran, 2004). Using data from 247 grandparents (Mean age = 66.5; range 42 to 90 years; 46.2% grandfathers), we examined whether grandparent role centrality and engagement with grandchildren altered the effects of physical health on depression. We then explored model differences between 164 custodial and 83 traditional grandparents. We found that for all grandparents the model was of sufficient fit: …

Assessing Preferences For Montessori-Based Activities In Persons With Memory Impairment, Katelyn Danielle Smith

All Graduate Theses, Dissertations, and Other Capstone Projects

The population of older adults in the U.S is continuously increasing. With this comes an increased number of individuals with Alzheimer’s or other dementia related disease (ADRD), along with the need for quality care for these individuals. The use of activities to increase engagement has been shown to have a number of psychological benefits, especially when these activities are tailored to the abilities and preferences of the individual. However, individualizing activity programming is not always feasible for activity and care staff. The purpose of this study was to use a stimulus preference assessment to identify Montessori-based activities that persons with …

Why Are They Wrong? Exploring Surrogates’ Accuracy When Predicting Patient Treatment Preferences, Rachael Lynn Spalding

Graduate Theses, Dissertations, and Problem Reports

Surrogate decision making is common in medical settings, particularly regarding treatment decisions for patients at end-of-life. When making decisions on behalf of patients, surrogates are most often encouraged to use the substituted judgment standard and make the decision that the patient would make if he or she were able to express a choice. A significant body of research, using patient-surrogate pairs and hypothetical vignettes, has documented that surrogates tend to inaccurately predict patient preferences when making these decisions (Shalowitz et al., 2006). This results in treatment decisions that do not match what the patient would have selected. Various factors that …

Differences And Similarities In Male Body Image In Young, Middle-Aged, And Older Men, Amy K. Jordan

MSU Graduate Theses

The purpose of the present study was to explore differences and similarities in multiple aspects of male body image across age groups, including body dissatisfaction, coping strategies, functional appreciation, and mood. It was first hypothesized that younger men would report greater dissatisfaction with muscularity and body fat than middle-aged and older men. The second hypothesis stated that body dissatisfaction would predict depressive symptoms. The third hypothesis predicted that age and functionality appreciation for the body would be positively correlated. Finally, researchers evaluated the relationship between body image coping strategies and age from an exploratory perspective. Participants included 344 men ages …